O'Malley, Ellen

O'Malley, Ellen is an individual health care provider with primary practice located at 12350 Woodrose Ct Apt 3 , Fort Myers FL 33907-4621. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. O'Malley, Ellen can be contacted via phone (239) 822-6718.

Contact Information

Primary practice address
12350 Woodrose Ct Apt 3 Fort Myers FL 33907-4621
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 6031 Florida

Profile Details

NPI number 1174663504
LBN Legal business name O'Malley, Ellen
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Apr 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174663504 NPPES
Florida MEDICAID 760418100

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